Individual
DR. MILL ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ROUTE 59 STE 101, SUFFERN, NY 10901-4927
(845) 368-8808
(845) 357-0709
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
229737
NY
2084N0400X
Neurology Physician
229737
NY
2084N0600X
Clinical Neurophysiology Physician
229737
NY
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
229737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783493
—
NY
Enumeration date
07/20/2006
Last updated
12/02/2024
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